Organization
B ORTHO LLC
Active
Other names
B Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BRADFORD BAUTER DDS MSD (OWNER)
(415) 269-2574
Entity
Organization
Contact information
Practice address
13981 S VIRGINIA ST STE 405, RENO, NV 89511-8933
(775) 571-0770
Mailing address
13981 S VIRGINIA ST STE 405, RENO, NV 89511-8933
(775) 571-0770
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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